Winnebago County, IL · Winnebago County
Birth Certificate Request
Winnebago County residents and other eligible requesters use this form to request copies of a birth certificate for a birth that occurred in the county.
At a glance
- Issued by
- City of Winnebago County · Winnebago County, Winnebago County, Illinois
- Notarization
- Not required: file this form without a notary.
- Official source
- wincoil.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This request form is for obtaining copies of a birth certificate when the birth occurred in Winnebago County, Illinois. It asks for the number of copies, birth date and names of the person’s parents, plus the requester’s name and signature. The form explains who may receive a certificate, acceptable identification, and payment amounts.
Who needs it
A person eligible to receive a certificate for a birth in Winnebago County can use this form to request copies.
How to submit it
Submit in person to the Winnebago County Clerk’s Office at 404 Elm Street, Rockford, IL 61101, or mail the completed form with a copy of acceptable ID and exact payment by check or money order. The form also lists www.officialrecordsonline.com for online requests.
About notarization
This document is signed without a notary; the requester signs the form and no notarized or sworn attachment or related step is mentioned.
How to submit this form
- 1
Download the Request
Download the Birth Certificate Request form.
- 2
Complete the Form
Enter the requested birth and parent details, number of copies, and your name; then sign the form.
- 3
Gather Identification and Payment
Include a copy of acceptable ID and exact payment by check or money order if applying by mail.
- 4
Submit Your Request
Submit in person or by mail to the Winnebago County Clerk’s Office, or use the online option listed on the form.
Frequently asked questions
- Do I need a notary for the Birth Certificate Request?
- No. This document is signed without a notary; the requester signs the form, and no notarized or sworn attachment or related step is mentioned.
- How do I submit the Birth Certificate Request?
- Submit it in person to the Winnebago County Clerk’s Office or mail the completed form with a copy of acceptable ID and exact payment by check or money order. The form also lists an online request option.
- Who can receive a birth certificate?
- The form lists the person named on the certificate if at least 18, a named parent, a legal guardian with a court order, a legal representative, a government department, or someone with a court order.
- What information and payment does the request require?
- The form asks for the number of copies, birth date, birth name, parents’ names, and requester’s name and signature. It lists $17 for the first copy and $5 for each additional copy.